• Anaerobic culture• Blood culture• Body fluid culture• Catheter exit site culture• Catheter tip culture• Ear/eye culture• Environmental - Total Viable Microbial Count (water, bicarbonate, dialysate) - Endotoxin (water, bicarbonate, dialysate)• Fungal culture• Genital culture • Gram stains• KOH prep• MRSA/VRE screen• Nasopharyngeal/throat culture

• Peritoneal fluid - PD fluid, effluent - Gram stain - Cell count• Sputum culture• Stools - Clostridium difficile culture and toxin assays - Routine culture - WBC (fecal leukocytes) - Occult blood - Ova and parasite• Wound culture• Urine - Culture - Routine urinalysis

Spectra Laboratories, Inc.525 Sycamore Drive • Milpitas, CA 95035 • 800-433-37738 King Road • Rockleigh, NJ 07647 • 800-522-4662www.spectra-labs.com

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Spectra and the Spectra logo are trademarks of Fresenius Medical Care Holdings, Inc. or

its affiliated companies. All other trademarks are the property of their respective owners.

SLSL002217_vo1 MCBTESTSBR Rev. 05/20

Microbiology Testing Services

Antibiotic susceptibility performed on pathogens based on standards as defined by CLSI

Licensed by multiple states, including the New York State Department of Health and the California State Department of Health, our facilities are also CLIA (Clinical Laboratory Improvement Act) certified. Our microbiology laboratories are further certified and uphold the strict standards set forth by the National Environmental Laboratory Accreditation Conference (NELAC), Association for the Advancement of Medical Instrumentation (AAMI), as well as the New York State ELAP (Environmental Laboratory Approval Program).

microbiology testing services

The Life of a Blood Culture at Spectra Laboratories

➊ Upon receipt, blood culture bottles are visually inspected to detect microbial growth.

➊ If visual inspection is negative, bottles are incubated in our automated, continuous monitoring BacT/ALERT System for up to five days. If the culture is negative throughout the five day incubation period, a negative report will be issued at 2 hours, 24 hours and on each subsequent day.

➊ If the bottles are visually positive upon receipt, or flagged as positive by the BacT/ALERT System anytime during the incubation period, a gram stain is performed for preliminary classification of microorganisms. Bottles are then subcultured on agar media for growth.

➊ A Clinical Laboratory Scientist compares the gram stain results to the organism growing on the plated agar media and proceeds with setting up identification and susceptibilities. Identification and susceptibilities are typically achieved within 6-8 hours from set-up time.

➊ The Clinical Laboratory Scientist reports all of the identifications and susceptibilities completed by the Vitek System. The majority of identifications and susceptibilities will be reported within 24 hours from the day growth is detected on plated media unless there are unusual or slow growing organisms.

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You already know Spectra Laboratories for a wide array of dialysis-related testing services. Now get to know us for your microbiology needs.

As the leading provider of renal-specific testing services, we understand the special needs of your dialysis patients. We routinely deliver comprehensive microbiology culture handling, analyses, and reporting with the consistency and accuracy you expect.

Experience You Can Depend On

Our Clinical Laboratory Scientists have years of clinical microbiology experience, training, and knowledge-ensuring expert handling of your cultures. Our Microbiology Managers and Medical Directors have decades of clinical experience should you need to discuss specific needs, results, or interpretations.

Helping You Improve Patient Outcomes

Spectra Laboratories has been at the forefront of the renal industry for over 35 years. Our programs enhance the treatment and outcomes of your dialysis patients, and continue to set new standards in quality and service:

State-of-the-Art Analysis Methods As bacteria become resistant to more antibiotics, physicians need to know what kind of microbe is present and which antibiotic will be most effective. That’s why Spectra Laboratories uses the advanced bacterial identification and susceptibility technology in the Vitek 2 XL Automated System.

The technology uses preformed enzymes to rapidly identify organisms. With the Vitek system’s extensive knowledge base of phenotypes, identification and susceptibilities are typically achieved within 6-8 hours from set-up time.

Using the BacT/ALERT 3D Microbial Detection System, Spectra Laboratories can incubate, agitate, and continuously monitor aerobic and anaerobic media inoculated with blood, PD Fluid Cultures, and Body Fluid Cultures from patients suspected of having bacteremia/fungemia or fluid infection. This means positive cultures can be detected in as little as two hours from the time of incubation in the instrument.

Reproducible Reports• Standardized protocols and instrumentation

Data-Driven Interpretation Guidelines• Advanced Expert System for susceptibility reporting• Antibiograms

Rapid, Comprehensive Reporting • Web-based microbiology results• Critical microbiology results faxed every 2-6 hours• Immediate, direct notification of positive growth results• Sunday Notification Program

Education and Support• Instructions on proper specimen collection and handling• Dedicated shipping boxes and collection kits for microbiology specimens• Ongoing support from our team of Nephrology Clinical Educators

Timely, accurate results

seven days a week.spectramicrobiology

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Achromobacter xylosoxidans 60 20 9 51 0 4 28 7 92 7 11 50 96 71 11 97

Acinetobacter baumannii 558 86 0 91 5 0 81 1 72 10 87 83 91 92 86

Acinetobacter lwoffi 100 98 64 97 31 10 98 41 87 60 98 95 100 97 87

Acinetobacter species 109 98 52 99 32 9 91 29 83 56 98 98 98 95 96

Acinetobacter ursingii 45 97 97 81 53 31 100 100 100

Aeromonas hydrophila 33 100 3 3 100 12 96 100 96 96 100 93 90 100 100 88

Citrobacter braakii 38 100 86 0 100 0 78 78 100 100 100 100 100 100 100

Citrobacter freundii 191 100 87 0 100 0 86 86 100 90 91 100 91 95 87

Citrobacter koseri 229 99 99 95 100 99 98 99 100 97 96 100 100 98 96

Citrobacter species 42 100 90 4 100 52 92 90 100 100 100 100 92 100 100

Enterobacter aerogenes 279 100 93 0 100 1 92 92 100 97 98 99 98 97 95

Enterobacter asburiae 53 100 18 48 94 5 100 91 94 94 96 98 98 100 100 94

Enterobacter cloacae 1228 99 95 1 99 3 95 95 98 98 96 99 97 96 92

Enterobacter species 47 100 93 4 97 91 100 97 97 100 97 95 100 100 97

Escherichia coli 2634 99 38 53 88 81 89 98 87 87 99 82 57 99 99 83 65

Klebsiella oxytoca 314 100 0 86 95 84 96 99 95 96 99 97 98 99 98 97 96

Klebsiella pneumoniae 1551 96 0 82 88 85 88 95 87 87 96 91 89 96 93 88 85

Morganella morganii 250 100 0 0 96 0 99 96 88 96 100 77 72 100 91 64

Pantoea agglomerans 130 100 94 81 100 95 95 96 97 99 99 100 100 100 100

Proteus mirabilis 1075 99 70 79 90 82 90 98 89 89 98 87 67 97 90 74

Proteus vulgaris 39 100 12 74 97 12 100 100 100 84 100 100 100 97 100 95

Providencia stuartii 78 100 2 2 97 1 97 100 93 97 100 2 29 97 2 71

Pseudomonas aeruginosa 1759 97 0 0 0 94 0 93 0 89 80 96 96 0

Pseudomonas luteola 39 97 47 84 5 97 89 97 92 97 100 97 100 94

Pseudomonas putida 88 98 2 4 0 100 6 92 13 98 87 89 100 11

Pseudomonas species 38 97 89 84 74 94 89 97

Pseudomonas stutzeri 38 100 52 94 15 100 100 100 94 100 97 100 95 94

Raoultella planticola 32 100 0 90 96 93 100 100 93 100 100 93 100 100 96 96 100

Serratia marcescens 851 99 97 0 99 99 97 96 99 97 94 99 94 90 97

Sphingomonas paucimobilis 69 86 72 90 20 52 80 41 69 81 91 86 96 97 74 93

Stenotrophomonas maltophilia 226 87 100 76 98

GRAM POSITIVE

Beta-hemolytic Streptococcus 46 76 84 78 79 68 100 100 100

Coagulase Negative Staphylococcus 9579 41 56 31 75 43 99 63 30 4 99 96 83 100 57 100

Corynebacterium species 125 13 90 53 99

Corynebacterium striatum 98 14 90 33 97

Enterococcus casselifl avus 42 95 88 26 80 100 92 7 96 100 7

Enterococcus faecalis 2371 94 68 14 69 99 93 0 22 99 93

Enterococcus faecium 354 15 10 5 12 99 13 95 20 99 31

Enterococcus gallinarum 39 94 91 67 94 97 89 5 67 100 5

Enterococcus species 272 78 45 22 65 96 76 57 19 100 72

Staphylococcus aureus 13467 57 71 41 96 60 99 71 54 4 99 98 94 99 96 100

Staphylococcus lugdunensis 423 96 75 76 98 97 100 98 82 19 100 99 92 100 95 100

Streptococcus agalactiae 343 100 99 45 96 100 100 99 16 100 100

Streptococcus pneumoniae 41 94 100 100 74 97 83 100 100 86 48 100

Viridans Streptococcus Group 462 83 78 76 87 43 86 45 60 100

Percentage of susceptible organismsSpectra Laboratories Antibiogram 1/1/12 - 12/31/12

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Percentage of isolates SUSCEPTIBLE to antibiotic indicated; Based on Clinical and Laboratory Standards Institute (CLSI) guidelines; Blank spaces indicate data not reported.

Antibiogram Reports

Because Spectra Laboratories is focused on the renal industry, we can provide unique and valuable data to assist you in managing your clinical operation. As a complement to individual patient reports, we offer an Annual Antibiogram Report, which is derived from a microbiology database of all dialysis patient results. The report is available in three user-friendly formats:

1. Comprehensive 2. PD Fluid 3. Catheter Exit Site

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